Post-Retinal Detachment Surgery: Key Recovery Questions Answered
Post-retinal detachment surgery I have experienced a retinal detachment in my left eye and underwent a vitrectomy with gas tamponade on May 18th. It has now been four weeks. I would like to ask the following questions: 1. How many hours should I maintain a prone position each d...
Dr. Gao Pilin Reply:
Hello Mr. Chen: 1. Whether you need to lie prone depends on whether there is still gas present. If there is no gas, lying prone would be meaningless. Therefore, it is best to consult with the examining physician. 2. Since surgery will result in a wound, there may be redness a...[Read More] Post-Retinal Detachment Surgery: Key Recovery Questions Answered
Understanding High Myopia and Steroid-Related Eye Pressure Issues
High myopia and steroid-related issues? Dear Dr. Gao, Several months ago, you visited the clinic for conjunctivitis. Due to your high myopia, the doctor suspected glaucoma, and your intraocular pressure (IOP) was measured at 18 mmHg. Your refractive error was approximately -8.00...
Dr. Gao Pilin Reply:
Hello, Alley: 1. Anxiety may increase, and there may also be machine errors. 2. The morphology of the optic nerve is one indicator, but visual field testing should be the primary reference. 3. No. 4. If it has already decreased, there is no need for concern, but remember to infor...[Read More] Understanding High Myopia and Steroid-Related Eye Pressure Issues
Understanding Optic Nerve Examination: What You Need to Know
Regarding optic nerve examination? Hello, Doctor. I apologize for the interruption. I would like to ask about the optic nerve examination. I just had a fundus examination, and the doctor determined that the condition of my eyes is normal, with no high intraocular pressure, and bo...
Dr. Gao Pilin Reply:
Hello: Glaucoma is a type of optic nerve disorder, but an examination of the optic nerve does not necessarily mean that glaucoma is being assessed. However, if glaucoma is suspected, some neurological examinations may be conducted.[Read More] Understanding Optic Nerve Examination: What You Need to Know
Understanding Glaucoma Concerns in High Myopia Patients: Key Insights
Concern for glaucoma Hello Doctor, I have high myopia with a prescription of -6.25 and -6.75. I would like to ask about my OCT results. The doctor at the clinic mentioned that my retinal nerve fiber layer is thinner, and my intraocular pressure was 20 and 21 on that day. Later, I...
Dr. Gao Pilin Reply:
Hello Ms. Lin: 1. You might need to ask the interpreting physician; I'm not sure. 2. It could be normal. 3. It's possible.[Read More] Understanding Glaucoma Concerns in High Myopia Patients: Key Insights
Understanding Fundus Examination: Concerns for High Myopia Patients
Fundus examination Hello, doctor. I have high myopia, with one eye at -6.75 and the other at -6.25. Today, during a fundus examination with a digital scan, I had some difficulty with my left eye. They kept asking me to look to the right, but I was already doing so, and the machin...
Dr. Gao Pilin Reply:
Hello Ms. Wang: 1. It may or may not happen. 2. It could be a possibility, or it might just be congenital. However, normal vision indicates that it has not yet reached the level of glaucoma. 3. Each physician has their own way of making judgments, and interpretations may vary.[Read More] Understanding Fundus Examination: Concerns for High Myopia Patients
Understanding Rainbow Vision: When to Seek Eye Care?
Is this a case of iridology? Does it need to be examined? When observing streetlights, car headlights, or sunlight reflections, light can scatter and create rainbows. Sometimes, rainbows appear only on the left and right sides, while other times, multiple fragmented arcs can be s...
Dr. Gao Pilin Reply:
Hello Wei: What you refer to as "rainbow vision" is likely the phenomenon of dispersion. Dispersion typically occurs when the corneal hydration level increases. A common instance of this is seen in acute glaucoma, which can produce such effects. However, if there are co...[Read More] Understanding Rainbow Vision: When to Seek Eye Care?
Can a Single Eye Exam at a Hospital Accurately Diagnose Glaucoma?
Glaucoma Report I recently made an appointment at a major hospital for an eye examination, but since I have not had any previous eye tests there, they do not have my complete medical history. Can they determine if I have glaucoma in just one visit? I have been seeing a clinic for...
Dr. Liang Ce Reply:
It is recommended that you undergo a comprehensive examination at a major hospital and consult regarding any related questions. Wishing you good health![Read More] Can a Single Eye Exam at a Hospital Accurately Diagnose Glaucoma?
Understanding High Eye Pressure: Causes, Concerns, and Treatment Options
The issue of elevated intraocular pressure? Hello, Doctor Gao. I have high myopia (approximately -800 diopters) and severe floaters (I can see many floaters in both eyes). Recently, due to frequently seeing small bright spots, I visited an ophthalmology clinic for a fundus examin...
Dr. Gao Pilin Reply:
Hello: 1. Unilateral hypertension is also common. 2. The two may be unrelated; pain in the brow area is often associated with trigeminal neuralgia. 3. If the reading of 31 is also elevated, it is advisable to use medication before further examination. 4. It may be thought that a ...[Read More] Understanding High Eye Pressure: Causes, Concerns, and Treatment Options
Managing Eye Pressure: Tips for Exercise, Diet, and Lifestyle Adjustments
The sensation of elevated intraocular pressure? Hello Doctor: Recently, I've been troubled by some eye issues. I have previously experienced symptoms of high intraocular pressure (headaches, dizziness, mild nausea), and similar feelings have returned in the past couple of da...
Dr. Cai Wenyuan Reply:
The sensations in the eyes may not necessarily be related to intraocular pressure; it is advisable to seek medical evaluation.[Read More] Managing Eye Pressure: Tips for Exercise, Diet, and Lifestyle Adjustments
Managing Acute Angle-Closure Glaucoma: Treatment and Care Strategies
Acute angle-closure glaucoma management and treatment options include: 1. **Medications**: Immediate treatment often involves medications to lower intraocular pressure. These may include carbonic anhydrase inhibitors (e.g., acetazolamide), topical beta-blockers (e.g., timolol),...
Dr. He Jianxian Reply:
In the case of an acute glaucoma attack, it is generally necessary to urgently lower intraocular pressure. If the pressure can be successfully reduced, subsequent treatment involves laser iridotomy, and emergency surgery becomes an unavoidable option. After the acute phase of tre...[Read More] Managing Acute Angle-Closure Glaucoma: Treatment and Care Strategies
Common Eye Issues: Concerns About Steroid Use and Dry Eye Management
Eye problems 1. Hello, I would like to ask about my previous long-term use of Betamethasone eye ointment on my eyelids for four years. I later learned that it contains steroids and should not be used long-term, so I stopped using it immediately. I had a fundus examination, and my...
Dr. He Jianxian Reply:
If the examination shows no abnormalities in intraocular pressure or the optic nerve, discontinuing treatment typically does not lead to secondary glaucoma. Regarding dry eyes, using eye ointments can often lead to blockage, so it is important to maintain regular cleaning. There ...[Read More] Common Eye Issues: Concerns About Steroid Use and Dry Eye Management
Glaucoma Diagnosis Dilemma: Trusting Competing Eye Care Opinions
Glaucoma Diagnosis After being diagnosed with glaucoma at a clinic after years of regular check-ups, I went to another clinic for a one-time examination, which stated that I only have ocular hypertension. Which diagnosis should I trust? Currently, both clinics agree that I need t...
Dr. He Jianxian Reply:
If the cornea is thicker, intraocular pressure (IOP) measurements may be less meaningful. The primary assessments should focus on Optical Coherence Tomography (OCT), visual fields, and the condition of the optic nerve head. If these evaluations show no abnormalities, it is recomm...[Read More] Glaucoma Diagnosis Dilemma: Trusting Competing Eye Care Opinions
Managing Glaucoma and Dry Eye: Is Comfortan Safe for Use?
Medication issues I currently have glaucoma and dry eye syndrome. My doctor has prescribed glaucoma eye drops, specifically Kengeng eye solution, and I am using artificial tears, specifically Pataday, but they are not very effective for my dry eye condition. I am considering purc...
Dr. Liang Ce Reply:
I recommend that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health![Read More] Managing Glaucoma and Dry Eye: Is Comfortan Safe for Use?
Understanding the Possible Causes of Decreasing Myopia Over Time
Reduction in myopia degree Hello, five years ago, I had a prescription of over 700 diopters at an optical shop. Three years ago, my prescription was measured at over 600 diopters, and recently, an eye doctor measured it at over 500 diopters. I would like to ask the doctor about t...
Dr. Gao Pilin Reply:
Hello Mr. Gong: The most common reason is a change in the refractive power of the lens. It should not be related to ocular atrophy or the optic nerve of the retina. I recommend that you see an ophthalmologist for an examination.[Read More] Understanding the Possible Causes of Decreasing Myopia Over Time
Understanding Mild Blurriness in Vision: Causes and Solutions
Slightly blurred vision? Hello, I have a myopia of 500 degrees, which has remained stable for nearly 20 years. I previously wore scratched lenses for two years, and when I don’t wear glasses, I experience a slight foggy sensation, but I'm not sure if it's due to blurrin...
Dr. Gao Pilin Reply:
Hello Tim: If wearing glasses eliminates the foggy sensation, it indicates that the fog is caused by myopia. When wearing glasses, myopia is corrected, and the retina receives a clear image, which resolves the fog. There should be no issues.[Read More] Understanding Mild Blurriness in Vision: Causes and Solutions
Understanding Glaucoma and Dry Eye Syndrome: Key Concerns and Treatments
Glaucoma and Dry Eye Syndrome Hello, Doctor: 1. Since childhood, I have been seeing an ophthalmologist and was recently told by the clinic physician that I have congenital ocular hypertension (with intraocular pressure ranging from 19 to 24 in both eyes). I started using Xalata...
Dr. Liang Ce Reply:
I recommend that you 1. discuss the above situation further with your attending physician to determine if any additional examinations are necessary. 2. You may also consider consulting at an ophthalmology outpatient clinic at a medical center or a large hospital. Thank you, and w...[Read More] Understanding Glaucoma and Dry Eye Syndrome: Key Concerns and Treatments
Understanding Blurry Vision After Napping: Causes and Solutions
Visual haze or fog in front of the eyes? Hello, I often take naps on my desk during lunch breaks, and sometimes I might press on my eyeballs, although I'm not sure if I actually do. After waking up and putting on my glasses, my entire field of vision appears foggy and somewh...
Dr. Gao Pilin Reply:
Hello, Apple: Waking up with blurry vision after sleeping on your stomach is a common experience for many, especially during school days after a nap. This occurs because the pressure on the cornea while sleeping can lead to astigmatism, which resolves as the cornea gradually reco...[Read More] Understanding Blurry Vision After Napping: Causes and Solutions
Understanding OCT Errors and Glaucoma Diagnosis: Key Insights
Glaucoma OCT examination? Is the error in OCT measurements significant? Recently, I had an OCT examination at the same clinic, and the results were in the green zone, but the results for my left eye differ quite a bit from two and a half years ago: the average RNFL thickness decr...
Dr. Gao Pilin Reply:
Hello: It is also possible that there is an error, and you should have a physician explain the interpretation to determine if there is any degeneration. Strabismus should not affect the results of the OCT examination. Early glaucoma is likely just a suspicion and does not necessa...[Read More] Understanding OCT Errors and Glaucoma Diagnosis: Key Insights
Do You Need Annual Referrals for Glaucoma Eye Exams?
Glaucoma examination? 1. When seeing a glaucoma specialist at a clinic for a chronic prescription, is it necessary to be referred to a hospital every year for a fundus examination and visual field testing? 2. If the clinic physician does not provide a referral for a fundus exam...
Dr. Liang Ce Reply:
We recommend that you 1. discuss the above situation further with your attending physician to determine if any additional examinations are necessary. 2. You may also consider consulting at an ophthalmology outpatient clinic at a medical center or large hospital. Thank you, and wi...[Read More] Do You Need Annual Referrals for Glaucoma Eye Exams?
Understanding Visual Impairment: Key Questions and Insights on Eye Health
Visual impairment Hello, I saw the standards for visual impairment online, and there are two criteria for mild visual field loss: 1. For the central 24-degree program on the automated perimetry, an average defect greater than 25 dB (exclusive) is required. 2. For the central 30-d...
Dr. Gao Pilin Reply:
Hello, S: Currently, the central 30 degrees should be used as a reference for visual field defects, which are not easily noticeable without examination. Retinal degeneration can lead to visual field loss, typically more severe in areas with light, which will appear clearer. When ...[Read More] Understanding Visual Impairment: Key Questions and Insights on Eye Health